未足月胎膜早破易发因素及妊娠结局  

Inducing factors and pregnancy outcome of preterm premature rupture of membrane

作　　者：刘伟[1] 莫美陆[1] 

机构地区：[1]汕头大学医学院第二附属医院妇产科

出　　处：《中国妇幼保健》2012年第34期5467-5469,共3页Maternal and Child Health Care of China

摘　　要：目的:对比分析未足月胎膜早破的易发因素及其妊娠结局。方法:选取2009年1月～2010年12月妊娠满28周不满37周胎膜早破的患者共103例,其中<35孕周47例为实验组A,≥35孕周56例为实验组B;同期妊娠足月胎膜早破患者187例为对照组,分析未足月胎膜早破及足月胎膜早破的易发因素及妊娠结局。结果:未足月发生胎膜早破是多因素的,多数发病原因不清,有引产或流产史、宫颈炎、阴道炎史。未足月胎膜早破组新生儿窒息、新生儿肺炎、绒毛膜羊膜炎和剖宫产比率明显高于足月胎膜早破组(P<0.05)。结论:未足月胎膜早破发病因素复杂,很可能与宫内感染和宫内微环境有关系,胎膜早破使母儿的并发症增高。Objective： To compare and analyze the inducing factors and pregnancy outcome of preterm premature rupture of mem- brane （PPROM） . Methods： A total of 103 PPROM patients with gestational weeks more than 28 weeks （including 28 gestational weeks） and less than 37 weeks were selected during January 2009 to December 2010, including 47 patients 〈 35 gestational weeks （ experimental A group） , 56 patients≥35 gestational weeks （experimental B group） ; 187 patients with term premature rupture of membrane during the same period were selected as control group, the inducing factors of PPROM and term premature rupture of membrane were analyzed. Results： PPROM was induced by multiple factors, the causes of PPROM in most patients were not clear, including history of induced abortion or abortion, cervicitis, and vaginitis. The incidences of neonatal asphyxia, neonatal pneumonia, maternal chorioamnionitis, and cesarean section rate in PPROM group were statistically significantly higher than those in term premature rupture of membrane group （ P 〈 0. 05 ） . Conclusion： The inducing factors of PPROM are complex, which may be correlated with intrauterine infection and intrauterine microenvironment, premature rupture of membrane increases the maternal and infantile complications.

关 键 词：未足月胎膜早破 妊娠结局 易发因素 

分 类 号：R714[医药卫生—妇产科学]